Individual
MRS. PREMA DAVID
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN,MSN,NP-C
Contact information
Practice address
1901 W HARRISON ST, SUITE NO 215, 637 S WOOD ST, CHICAGO, IL 60612-3714
(312) 864-4600
(312) 864-9569
Mailing address
8151 TRIPP AVE, SKOKIE, IL 60076-3249
(847) 676-1534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-000941(41-192393
IL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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